NPI | 1073956231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: CA A167567) |
Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine (Licence: WA 60894787) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2023-03-07 |